{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T16:39:24Z","timestamp":1786984764822,"version":"build-2736575974"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,6,22]],"date-time":"2023-06-22T00:00:00Z","timestamp":1687392000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,6,22]],"date-time":"2023-06-22T00:00:00Z","timestamp":1687392000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,6,22]],"date-time":"2023-06-22T00:00:00Z","timestamp":1687392000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,6,22]],"date-time":"2023-06-22T00:00:00Z","timestamp":1687392000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate the biomechanical effects of tape\u2010reinforced graft suturing and graft retensioning for all\u2013soft tissue quadriceps tendon (ASTQT) anterior cruciate ligament reconstruction (ACLR) in a full\u2010construct human cadaveric model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Harvested cadaveric ASTQT grafts were assigned to either (1) double\u2010suspensory adjustable\u2010loop cortical button device (ALD) fixation in which both graft ends were fixed with a suspensory fixation device with (n\u00a0= 5) or without (n\u00a0= 5) tape\u2010reinforced suturing or (2) single\u2010suspensory distal tendon fixation in which only the patellar end was fixed with an ALD (n\u00a0= 5) or fixed\u2010loop cortical button device (FLD) (n\u00a0= 5). All specimens were prepared using a No. 2 whipstitch technique, and tape\u2010reinforced specimens had an integrated braided tape implant. Graft preparation time was recorded for double\u2010suspensory constructs. Samples were tested on an electromechanical testing machine using a previously published protocol simulating rehabilitative kinematics and loading.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Tape\u2010reinforced graft suturing resulted in greater graft load retention after cycling (11.9% difference,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .021), less total elongation (mean [95% confidence interval (CI)], 5.57 mm [3.50\u20107.65 mm] vs 32.14 mm [25.38\u201038.90 mm];\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), greater ultimate failure stiffness (mean [95% CI], 171.9 N\/mm [158.8\u2010185.0 N\/mm] vs 119.4 N\/mm [108.7\u2010130.0 N\/mm];\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), and less graft preparation time (36.4% difference,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) when compared with unreinforced specimens. Retensioned ALD constructs had less cyclic elongation compared with FLD constructs (mean total elongation [95% CI], 7.04 mm [5.47\u20108.61 mm] vs 12.96 mm [8.67\u201017.26 mm];\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .004).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Tape\u2010reinforced graft suturing improves time\u2010zero ASTQT ACLR construct biomechanics in a cadaveric model with 83% less total elongation, 44% greater stiffness, and reduced preparation time compared with a whipstitched graft without tape reinforcement. ALD fixation improves construct mechanics when compared with FLD fixation as evidenced by 46% less total elongation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Tape\u2010reinforced implants and graft retensioning using ALDs improve time\u2010zero ACLR graft construct biomechanics in a time\u2010zero biomechanical model. Clinical studies will be necessary to determine whether these implants improve clinical outcomes including knee laxity and the incidence of graft rupture.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2023.06.021","type":"journal-article","created":{"date-parts":[[2023,6,24]],"date-time":"2023-06-24T15:10:21Z","timestamp":1687619421000},"page":"136-145","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Tape\u2010Reinforced Graft Suturing and Retensioning of Adjustable\u2010Loop Cortical Buttons Improve Quadriceps Tendon Autograft Biomechanics in Anterior Cruciate Ligament Reconstruction: A Cadaveric Study"],"prefix":"10.1002","volume":"40","author":[{"given":"Joseph D.","family":"Lamplot","sequence":"first","affiliation":[{"name":"Campbell Clinic Germantown Tennessee U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin L.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Research Arthrex Naples Florida U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harris S.","family":"Slone","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Medical University of South Carolina Charleston South Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver L.","family":"Hauck","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Research Arthrex Naples Florida U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Coen A.","family":"Wijdicks","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Research Arthrex Naples Florida 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